NPI | 1316290083 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: VA 0024171161) |
Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: VA 0024171161) |
363LA2100X Nurse Practitioner, Acute Care (Licence: DC RN1005293) | |
Enumeration Date | 2012-10-18 |
Last Update Date | 2018-08-22 |